31D2245622 CLIA NUMBER - R-HEALTH BY EVERSIDE TOMS RIVER

Laboratory Demographics

CLIA Number: 31D2245622

Facility Name: R-HEALTH BY EVERSIDE TOMS RIVER

Facility Address:
355 LAKEHURST ROAD
TOMS RIVER, NJ
ZIP 08755
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Facility Phone Number: 215 600-4590

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801315742

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2245622
LAB Type	Physician Office
Facility Name	R-HEALTH BY EVERSIDE TOMS RIVER
Street	355 LAKEHURST ROAD
City	TOMS RIVER
State	NJ
ZIP	08755
Phone	215 600-4590
CertificateType	4
CertificateEffectiveDate	12/15/2023
CertificateExpirationDate	12/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024